Journal of Neurosciences in Rural Practice
Year : 2010  |  Volume : 1  |  Issue : 2  |  Page : 105-108

Moyamoya syndrome in a known case of pulmonary tuberculosis

Department of Medicine, Hamad Medical Corporation, Hamad General Hospital, PO Box 3050, Doha, Qatar

Correspondence Address:
Fahmi Yousef Khan
Department of Medicine, Hamad General Hospital, PO Box 3050, Doha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-3147.71726

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We report an unusual association of pulmonary tuberculosis with moyamoya syndrome in a 30-year-old Filipino female who was admitted to our hospital with a 1-week history of fever and cough. Chest X-ray showed widespread bilateral consolidation with cavity, whereas sputum was positive for acid fast bacilli (AFB). Two weeks after starting antituberculous treatment, the patient developed two episodes of loss of consciousness, which were unwitnessed. Urgent brain computed tomography (CT) showed multiple infarctions, suggesting vasculitis. The electroencephalogram showed epileptic discharges. Magnetic resonance angiography showed a picture consistent with moyamoya disease. Brain CT angiography was performed and it showed the same pictures. The patient was diagnosed with pulmonary tuberculosis-associated moyamoya syndrome. On the following days, she was discharged on antituberculous medications, antiepileptic and oral hypoglycemic treatment. After 1 year, the patient was seen in the clinic, she was well and seizure-free.

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